Active NPI
Central Calif ENT Medical Group
- Plastic Surgery Physician
- Fresno, CA
National Provider Identifier
1083673842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- CENTRAL CALIF ENT MEDICAL GROUP
- Practice address
- 1351 E Spruce Ave
Fresno, CA 93720-3342 - Phone
- (559) 432-3303
- Fax
- (559) 432-1468
- NPI assigned
- Mar 21, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandi Bartucci
- Title
- Director of Accts. Receivable
- Phone
- (559) 432-3303
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
1351 E Spruce Ave
Fresno, CA 93720-3342
Mailing address
1351 E Spruce Ave
Fresno, CA 93720-3342
Phone (559) 432-3303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0717022 | Central California ENT Medical Group | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1351 E Spruce Ave
Ste 100
Fresno, CA 93720
Phone (559) 432-3303
1351 E Spruce Ave
Ste 120
Fresno, CA 93720
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Fresno, CA
- NPI 1134188097
-
- Audiologist
- Clovis, CA
- NPI 1497996185
-
- Plastic Surgery Physician
- Fresno, CA
- NPI 1669431409
-
- Audiologist
- Fresno, CA
- NPI 1407070337
-
- Otolaryngology Physician
- Fresno, CA
- NPI 1285694422
-
- Audiologist
- Fresno, CA
- NPI 1134609233
-
- Facial Plastic Surgery Physician
- Fresno, CA
- NPI 1518156611
Single Specialty
-
- Otolaryngology Physician
- Fresno, CA
- NPI 1881801157
-
- Otolaryngology Physician
- Fresno, CA
- NPI 1639531627
-
- Otolaryngology Physician
- Fresno, CA
- NPI 1447219720
-
- Nurse Practitioner
- Clovis, CA
- NPI 1619906989
-
- Audiologist
- Fresno, CA
- NPI 1518456177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1083673842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 E SPRUCE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203342",
"telephone_number": "559-432-3303",
"fax_number": "559-432-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 E SPRUCE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203342",
"telephone_number": "559-432-3303",
"fax_number": "559-432-1468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CALIF ENT MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BARTUCCI",
"authorized_official_first_name": "SANDI",
"authorized_official_title_or_position": "DIRECTOR OF ACCTS. RECEIVABLE",
"authorized_official_telephone_number": "559-432-3303"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Center for Endodontics Inc.
- Center for Orthopedic and Spinal Physical Therapy
- Centerpointe Care Center LLC
- Centers for Living, Inc
- Centers for Living, Inc (centers for living)
- Central California Asthma Collaborative
- Central California Blood Center
- Central California Faculty Medical Group, Inc. (University Medical Supply)
- Central California Faculty Medical Group, Inc.
- Central California Faculty Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.